Notice of Case Action

ACCESS CENTRAL MAIL CENTER State of Florida Department

P.O. BOX 1770 of Children and Families
OCALA FL 34478

December 5, 2023 Case: 1428843523 Phone: (813) 337-5827

TIFFANY A GUENTHER
2053 SAUNDERS RD
ZEPHYRHILLS FL 33540

Dear Tiffany A Guenther

The following is information about your eligibility.

Medicaid for Unborn Babies:

If you are pregnant, your unborn baby was given a Medicaid Identification number and was added to Medicaid. The
baby’s benefits will begin when we are notified of the birth and the card is activated. You will get a notice when this
happens.

You will receive a Medicaid Gold card with the unborn baby’s name listed as Babyof (your name). Give a copy of the
card to the hospital and any doctors or providers who will be treating your baby. You can use this card until you receive
a new one with the baby’s name.

Call the ACCESS Florida Customer Call Center toll free at 1-866-762-2237 to report the birth of your baby as soon as
possible.

Medicaid for Newborn Babies:

Your newborn baby is eligible for Medicaid starting January 01, 2024

If you received a Medicaid card for the baby before birth, you can use that card until you receive a new one. If you do
not receive a new card with the baby’s name within 30 days, call the ACCESS Florida Customer Call Center toll free at
1-866-762-2237 to request one.

If you want any other benefits for the baby, you will need to complete an application.

If you were in a Medicaid HMO in the month of your baby’s birth and your baby had a Medicaid number before birth,
your baby was assigned to your HMO when Medicaid started.

If your baby did not have a Medicaid card before birth, contact the Statewide Medicaid Managed Care Help Line toll
free at 1-877-711-3662; Telecommunications device for the deaf (TDD) 1-866-467-4970 or visit the website at
www.flmedicaidmanagedcare.com to learn more about healthcare and HMO options for your baby.

Name Jan, 2024

Ongoing
Phoenyxx Cotton Eligible

AE01 FORM : CF-ES 103 03 2009

Did you know you now have an on-line account with us? Go to www.myflorida.com/accessflorida . You will
need your case number, 1428843523, to activate your My ACCESS Account. Then you can get into your
account with a user name and password of your choice.

You must report changes in your household circumstances within 10 days. If you fail to report changes as required, or if
the information you provide is not correct, you may have to repay any benefits you receive for which you were not
eligible and you may be prosecuted for fraud. If you have access to a computer, you may report your changes online
at the ACCESS Florida web site www.myflorida.com/accessflorida. You may also report changes by calling the
ACCESS Florida Customer Call Center at 850-300-4323, or by mail to the return address at the top of this notice.
DCF Services:
For information about your case, you may access your case information quickly and securely:
• through My ACCESS Account at www.myflorida.com/accessflorida,
• receive email notifications by signing up through your MyACCESS Account, or
• call the ACCESS Customer Call Center at (850) 300-4DCF (4323).

Fair Hearings: If you disagree with the decision we have made, you have the right to ask for a hearing before a state
hearings officer. You may be represented at the hearing by a lawyer, relative, friend or anyone you choose. If you want
a hearing, you must ask for the hearing by writing, calling the call center or coming into an office within 90 days from
the date at the top of this notice. If you ask for a hearing before the effective date of this notice, your benefits may
continue at the prior level until the hearing decision. You may be responsible to repay any benefits if the hearing
decision is not in your favor.

If you need information about free legal services, call the ACCESS Customer Call Center toll free at (850)
300-4DCF (4323) for a listing of legal services in your area or you can visit www.floridalawhelp.org.

Information on other services that may be helpful to you can be found at

https://www.myflfamilies.com/services/public-assistance .
Local community partner agencies are available to help you apply for services. To find one near you, go to
www.myflorida.com/accessflorida under “Find Us”. You can search by zip code or county.

Other information that may help you:

• To register or update your voter registration, you can visit www.registertovoteflorida.gov or call the ACCESS
Customer Call Center at (850) 300-4DCF (4323)
• Did you earn less than $59,187 in 2022? You may be eligible for an Earned Income Tax Credit up to $6,935. For
more information on where to find free tax assistance in your area call the IRS at 1-800-829-1040.
• You may be eligible to receive monthly discounts on your phone bill through Florida’s Lifeline Assistance
Program. Call your phone company or the Florida Public Service Commission at 1-800-342-3552 for more
information.
• If you need free help obtaining child support, medical support, establishing paternity, or locating your child’s
parent, call the Florida Child Support Program at (850) 488-KIDS (5437).

For Florida Relay 711 or TTY services, call 1-800-955-8771.

Nondiscrimination Policy:
In accordance with federal civil rights laws and U.S. Department of Agriculture (USDA) civil rights regulations and
policies, the USDA, its agencies, offices, and employees, and institutions participating in or administering USDA
programs are prohibited from discriminating based on race, color, national origin, sex (including gender identity and
sexual orientation), religious creed, disability, age, political beliefs, or reprisal or retaliation for prior civil rights activity in
any program or activity conducted or funded by USDA. Programs that receive federal financial assistance from the U.S.
Department of Health and Human Services (HHS), such as Temporary Assistance for Needy Families (TANF), and
programs HHS directly operates are also prohibited from discrimination under federal civil rights laws and HHS
regulations.
Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large
print, audiotape, American Sign Language), should contact the agency (state or local) where they applied for benefits.
Individuals who are deaf, hard of hearing or who have speech disabilities may contact USDA through the Federal Relay
Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.

CIVIL RIGHTS COMPLAINTS INVOLVING USDA PROGRAMS

USDA provides federal financial assistance for many food security and hunger reduction programs such as the
Supplemental Nutrition Assistance Program (SNAP), the Food Distribution Program on Indian Reservations (FDPIR)
and others. To file a program complaint of discrimination, complete the Program Discrimination Complaint Form,
(AD-3027) found online at: https://www.usda.gov/sites/default/files/documents/ad-3027.pdf , and at any USDA office or
write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy
of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:
1. mail: Food and Nutrition Service, USDA
 1320 Braddock Place, Room 334, Alexandria, VA 22314; or
2. fax: (833) 256-1665 or (202) 690-7442; or
3. phone: (833) 620-1071; or
4. email: FNSCIVILRIGHTSCOMPLAINTS@usda.gov

For any other information regarding SNAP issues, persons should either contact the USDA SNAP hotline number at
(800) 221-5689, which is also in Spanish, or call the state information/hotline numbers (click the link for a listing of
hotline numbers by state); found online at: SNAP hotline.

CIVIL RIGHTS COMPLAINTS INVOLVING HHS PROGRAMS

HHS provides federal financial assistance for many programs to enhance health and well-being, including TANF, Head
Start, the Low Income Home Energy Assistance Program (LIHEAP), and others. If you believe that you have been
discriminated against because of your race, color, national origin, disability, age, sex (including pregnancy, sexual
orientation, and gender identity), or religion in programs or activities that HHS directly operates or to which HHS
provides federal financial assistance, you may file a complaint with the Office for Civil Rights (OCR) for yourself or for
someone else.
To file a complaint of discrimination for yourself or someone else regarding a program receiving federal financial
assistance through HHS, complete the form on line through OCR’s Complaint Portal at https://ocrportal.hhs.gov/ocr/ .
You may also contact OCR via mail at: Centralized Case Management Operations, U.S. Department of Health and
Human Services, 200 Independence Avenue, S.W., Room 509F HHH Bldg., Washington, D.C. 20201; fax: (202)
619-3818; or email: OCRmail@hhs.gov . For faster processing, we encourage you to use the OCR online portal to file
complaints rather than filing via mail. Persons who need assistance with filing a civil rights complaint can email OCR at
OCRMail@hhs.gov or call OCR toll-free at 1-800-368-1019, TDD 1-800-537-7697. For persons who are deaf, hard of
hearing, or have speech difficulties, please dial 7-1-1 to access telecommunications relay services. We also provide
alternative formats (such as Braille and large print), auxiliary aids and language assistance services free of charge for
filing a complaint.
This institution is an equal opportunity provider.